Active NPI
Roberto Hernal
- Massage Therapist
- Los Angeles, CA
National Provider Identifier
1003408410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 77079
- Practice address
- 3756 W Avenue 40 Ste 2B
Los Angeles, CA 90065-3667 - Phone
- (323) 344-2337
- Fax
- (323) 739-0094
- NPI assigned
- Feb 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 77079 | CA | Primary |
Addresses
Primary practice location
3756 W Avenue 40 Ste 2B
Los Angeles, CA 90065-3667
Mailing address
9446 Ralph St
Rosemead, CA 91770-2111
Phone (323) 344-2337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RJ Wellness Care Services LLC | Massage Therapist | Current | Accepting new patients |
Locations
3756 W Ave 40
Ste 2B
Los Angeles, CA 90065
Phone (323) 344-2337
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1003408410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9446 RALPH ST",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917702111",
"telephone_number": "323-344-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3756 W AVENUE 40 STE 2B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900653667",
"telephone_number": "323-344-2337",
"fax_number": "323-739-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNAL",
"first_name": "ROBERTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-07",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "77079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.